Idaho Flaneuse raised a good point in yesterday’s post regarding models of medical care and the economics of referral. I wonder how this will work with the consolidation of doctor’s practices. Here in Boise most of the primary care practices have been bought by the hospitals here. I don’t have personal experience, but I think […]
About David Anderson
I'm a research associate at Duke University Margolis Center. I used to be Richard Mayhew, a mid-level bureaucrat at UPMC Health Plan. I started writing here and have not found a reason to stop.
Entries by David Anderson
Yesterday we talked about how the nature of the community hospital will be changing in the next half generation. The combination of the push towards quality and bundled payments will lead to general hospitals and general specialists becoming more specialized. the combination of bundled payments and quality accrual due to specialization is that the general […]
Just a few updates before I get coffee. First an interesting paper looking at surgical performance as a function of concentration on certain procedures instead of sheer volume of procedures**: For all four cardiovascular procedures and two out of four cancer resections, a surgeon’s degree of specialization was a significant predictor of operative mortality independent […]
Via Vox, an answer to stupid or evil: This revisionism, according to Roy, points to a much bigger conservative delusion: They cannot admit that their party’s voters are motivated far more by white identity politics than by conservative ideals. “Conservative intellectuals, and conservative politicians, have been in kind of a bubble,” Roy says. “We’ve had […]
The Pittsburgh Post Gazette has a nice deep dive into the financial implications of the ACA for hospitals. As expected, more people with insurance means less bad debt and less charity care. One of the promises made by the Affordable Care Act appears to be coming true: U.S. hospitals spent less on charity care for […]